MARY ABIODUN OLADITAN (NPI# 1679126296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679126296 |
| Entity Type | Individual |
| Full Name | MARY ABIODUN OLADITAN |
| Credential | LPP |
| Practice Address |
1436 Williamsbridge Rd Bronx NY 10461-2507 |
| Mailing Address |
2015 Grand Concourse Bronx NY 10453-4303 |
| Practice Telephone | 6467595453 |
| Mailing Telephone | 7186180401 |
| Mailing Fax Number | 3474791303 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 09669391 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1436 WILLIAMSBRIDGE RD |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316101124 | Doris Marilu Chavez | Family Medicine | 1436 Williamsbridge Rd, Bronx, NY 10461-2507 | 2008-07-11 |
| 1881240380 | Evaline Obare | Nurse Practitioner | 1436 Williamsbridge Rd, Bronx, NY 10461-2507 | 2019-08-12 |
| 1487038105 | Fabio Alberto Barrera Pena | Internal Medicine | 1436 Williamsbridge Rd, Bronx, NY 10461-2507 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710497466 | Cautious Care Medical, P.C. | General Practice | 3250 Westchester Ave Rm 101, Bronx, NY 10461-4548 | 2017-10-09 |
| 1962884700 | Yaser Baghdadi | General Practice | 3636 Waldo Ave Apt 5e, Bronx, NY 10463-2248 | 2015-06-28 |
| 1578975827 | Core Essentials Medical P.C. | General Practice | 3630 East Tremont Ave, Bronx, NY 10465 | 2014-05-21 |
| 1336583483 | Opeoluwa O Eleyinafe | General Practice | 1975 Walton Ave, Bronx, NY 10453-4700 | 2013-04-19 |
| 1972849560 | Dare I Adeyele | General Practice | 2015 Grand Concourse, Essen Medical, Bronx, NY 10453-8648 | 2012-12-31 |
| 1689908055 | Ss Medical Care, PC | General Practice | 961 E 174th St, Suite 18, Bronx, NY 10460-5060 | 2009-10-01 |
| 1396888624 | Anwar N Aziz | General Practice | 3887 Pratt Avenue, Bronx, NY 10466-5930 | 2007-02-15 |
| 1326112020 | Seung Gi Kim | General Practice | 785 Westchester Ave, Bronx, NY 10455-1722 | 2006-11-17 |
| 1346339918 | Kuan P Chiu | General Practice | 534 E 138th St, Bronx, NY 10454 | 2006-10-12 |
| 1427152149 | Maria Anna Lieber | General Practice | James J Peters Va Medical Center, Bronx, NY 10468-3942 | 2006-09-12 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.